Skip to main content
Log in

Predictive equation for acquisition of hepatitis B in hospital workers in a general hospital

  • Published:
European Journal of Epidemiology Aims and scope Submit manuscript

Abstract

A cross-sectional study was performed to obtain risk factors for hepatitis B disease, HBsAg carriers and immunised personnel, among 2470 workers in a general hospital in Madrid, Spain. The data obtained were analyzed with multiple logistic regression to obtain β coefficients for variables. The results of the analysis show that being a nurse or being regularly exposed to blood are the most important risk factors for hepatitis B acquisition. The length of time working at the same job activity was also a risk factor. The resulting β coefficients allow the construction of a predictive equation for non-immunised, HBsAg carrier and immunised HBV status, which can select subjects for a hepatitis B vaccination program.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Dandoy S., Kirkman-Liff B. and Brakowsky F. (1984): Multiple exposures of hospital employees to Hepatitis B - Arch. Inter. Med. 144: 720–723.

    Google Scholar 

  2. DeJuanes Pardo J.R., Fuertes A., Lago E. et al. (1986): Estudio de la prevalencia de marcadores de VHB y VHLT III, ante una campaña de vacunación contra la hepatitis B, en el personal sanitario extrahospitalario- Rev. Esp. Microbiol. Clin. 1: 230–234.

    Google Scholar 

  3. DeJuanes Pardo J.R., García Delgado I., Rodríguez Agulló J.L. and Corres Pireti M.A. (1987): Seguimiento de las hepatitis virales agudas, come enfermedad profesional, en el hospital general durante un periodo de 7 años - Rev. Esp. Microbiol. Clin. 2: 71–76.

    Google Scholar 

  4. Dienstag J.L. and Ryan D.M. (1982): Occupational exposures to hepatitis B virus in hospital personnel: infection or immunization? - Am. J. Epidemiol. 115: 26–39.

    Google Scholar 

  5. Enmanuel J.C., Bassett M.T. and Smith H.J. (1988): Risk of hepatitis B infection among medical and paramedical workers in a general hospital in Zimbabwe - J. Clin. Pathol. 41: 334–336.

    Google Scholar 

  6. Follet E.A., Symington I.S. and Cameron M.G. (1987): Experience with hepatitis B vaccination in nurses in a hospital for the mentally handicapped - Lancet ii: 728–731.

    Google Scholar 

  7. Galambos J.T. (1986): Transmission of hepatitis B from providers to patients: How big is the risk? Hepatology 6: 320–325.

    Google Scholar 

  8. Gerety R.J. and Tabor E. (1985): The Epidemiology of Hepatitis B. In: Hepatitis B, Gerety R.J. - Academic Press. Inc., Florida pp. 77–79.

    Google Scholar 

  9. Gustafson T.L. (1991): TRUE EPISTAT. 4th ed. Richardson T.X. Epistat services.

    Google Scholar 

  10. Hadley W.K. (1989): Infection of the health care worker by HIV and other blood-borne viruses: risks, protection and education - Am. J. Hosp. Pharm. 46 (Suppl): 54–57.

    Google Scholar 

  11. Hicks C.K., Hargiss C.O. and Harris J.R. (1985): Prevalence survey for hepatitis B in high-risk university hospital employees - Am. J. Infect. Control. 13: 1–16.

    Google Scholar 

  12. Hosmer D.W. and Lemeshow S. (1989): The multiple logistic regression model. In: Applied logistic regression. John Wiley and Sons - New York, pp. 25–36.

    Google Scholar 

  13. Johnson C.D., Evans R., Shanson D.C. and Wastell C. (1989): Attitudes of operating theatre staff to inoculation-risk cases - Br. J. Surg. 76: 195–197.

    Google Scholar 

  14. Malo González L.C., Herruzo-Cabrera R., García Caballero J. and Rey Calero J. (1990): Encuesta epidemiológica sobre la infección por el virus de la Hepatitis B (VHB) en personal sanitario, en consulta de Medicina Laboral - Ciencia Médica 7: 207–213.

    Google Scholar 

  15. Mulley A.G., Silverstein M.D. and Dienstag J.L. (1982): Indications for use of hepatitis B vaccine, based on cost-effectiveness analysis - New Engl. J. Med. 307: 644–652.

    Google Scholar 

  16. Pattison C.P., Maynard J.E., Berquist D.R. and Webster H.M. (1975): Epidemiology of hepatitis B in hospital personnel - Am. J. Epidemiol. 101: 59–64.

    Google Scholar 

  17. Tsega E., Horton J., Nordenfelt E., Hanson B.G. and Wolde-Hawariat G. (1989): Do hospital personnel in hyperendemic areas require immunization against hepatitis B virus infection? Is vertical transmission of HVB infection common in this group? - Eth. Med. J. 27: 101–106.

    Google Scholar 

  18. Williams R. and Fagan E. (1988): Viral hepatitis in hospitals a clinical overview - J. Hosp. Infect. 11: 142–149.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Herruzo-Cabrera, R., Malo-González, L., Purón, M.E.C. et al. Predictive equation for acquisition of hepatitis B in hospital workers in a general hospital. Eur J Epidemiol 9, 442–446 (1993). https://doi.org/10.1007/BF00157404

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00157404

Key words

Navigation